Active NPI
Jillian Leigh Jernigan, PSYD
- Psychologist
- New Haven, CT
National Provider Identifier
1417817925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5184
- Practice address
- 55 Lock St
New Haven, CT 06511-3603 - Phone
- (203) 432-0290
- NPI assigned
- Nov 17, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5184 | CT | Primary |
Addresses
Primary practice location
55 Lock St
New Haven, CT 06511-3603
Mailing address
55 Lock St
New Haven, CT 06511-3603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5184 | CT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1417817925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LOCK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LOCK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113603",
"telephone_number": "203-432-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "JILLIAN",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "5184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.